Healthcare Provider Details

I. General information

NPI: 1124304738
Provider Name (Legal Business Name): BETH PAULA SAWITZ PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2011
Last Update Date: 10/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 HALL ST
CONCORD NH
03301-3478
US

IV. Provider business mailing address

4 CASCO DR APARTMENT A
NASHUA NH
03062-4767
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-4540
  • Fax: 603-228-7384
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3662
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: